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Erschienen in: European Archives of Oto-Rhino-Laryngology 8/2020

09.04.2020 | Otology

Simultaneous bilateral cochlear implantation in children aged 12‒18 months is safe and can be performed using standard cochlear implant surgical techniques

verfasst von: Zhiqiang Gao, Suju Wang, Hua Yang, Guodong Feng, Yingying Shang, Bin Wang, Xu Tian, Ying Li, Xingmei Wei, Zhi Shu

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 8/2020

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Abstract

Purpose

Simultaneous bilateral cochlear implantation is often seen as the gold-standard intervention for many people with bilateral deafness. However, this intervention is not as commonly performed in China. This paper presents the surgical technique and the peri- and postoperative safety results from simultaneous bilateral implantation and compares them with those from sequential bilateral implantation.

Methods

Twenty nine children (aged 12‒18 months) met the inclusion/exclusion criteria and took part in this study. 10 participants received a unilateral cochlear implantation; 19 participants received simultaneous bilateral cochlear implantation. The same standard surgical technique (transmastoid facial recess approach with round window insertion) was used in all implantations. Safety was assessed via monitoring peri- and postoperative adverse events. The helpfulness of select surgical tools was assessed via questionnaire.

Results

No adverse events were reported for any participants. All queried surgical tools were helpful in all 244 recorded responses.

Conclusion

Simultaneous bilateral cochlear implantation can be performed using the same surgical technique as unilateral implantation and poses no increased safety risk for children aged 1‒2 years.
Literatur
1.
Zurück zum Zitat Wilson BS, Dorman MF (2018) Cochlear implants: a remarkable past and a brilliant future. Hear Res 242:3–21CrossRef Wilson BS, Dorman MF (2018) Cochlear implants: a remarkable past and a brilliant future. Hear Res 242:3–21CrossRef
2.
Zurück zum Zitat Peters BR, Wyss J, Manrique M (2010) Worldwide trends in bilateral cochlear implantation. Laryngoscope 120(Suppl 2):S17–44CrossRef Peters BR, Wyss J, Manrique M (2010) Worldwide trends in bilateral cochlear implantation. Laryngoscope 120(Suppl 2):S17–44CrossRef
3.
Zurück zum Zitat Rak K, Völker J, Schendzielorz P, Shehata-Dieler W, Radeloff A, Hagen R (2019) Bilateral cochlear implantation is regarded as very beneficial: results from a worldwide survey by online questionnaire. Eur Arch Otorhinolaryngol 276:679–683CrossRef Rak K, Völker J, Schendzielorz P, Shehata-Dieler W, Radeloff A, Hagen R (2019) Bilateral cochlear implantation is regarded as very beneficial: results from a worldwide survey by online questionnaire. Eur Arch Otorhinolaryngol 276:679–683CrossRef
4.
Zurück zum Zitat Eapen RJ, Buchman CA (2009) Bilateral cochlear implantation: current concepts. Curr Opin Otolaryngol Head Neck Surg 17:351–355CrossRef Eapen RJ, Buchman CA (2009) Bilateral cochlear implantation: current concepts. Curr Opin Otolaryngol Head Neck Surg 17:351–355CrossRef
5.
Zurück zum Zitat Dorman MF, Gifford RH (2017) Speech understanding in complex listening environments by listeners fit with cochlear implants. J Speech Lang Hear Res 60:3019–3026CrossRef Dorman MF, Gifford RH (2017) Speech understanding in complex listening environments by listeners fit with cochlear implants. J Speech Lang Hear Res 60:3019–3026CrossRef
6.
Zurück zum Zitat von Schoonhoven J, Sparreboom M, van Zanten BG et al (2013) The effectiveness of bilateral cochlear implants for severe-to-profound deafness in adults: a systematic review. Otol Neurotol 34:190–198CrossRef von Schoonhoven J, Sparreboom M, van Zanten BG et al (2013) The effectiveness of bilateral cochlear implants for severe-to-profound deafness in adults: a systematic review. Otol Neurotol 34:190–198CrossRef
7.
Zurück zum Zitat von Zon A, Smulders YE, Stegeman I et al (2017) Stable benefits of bilateral over unilateral cochlear implantation after 2 years: a randomized controlled trial. Laryngoscope 127:1161–1168CrossRef von Zon A, Smulders YE, Stegeman I et al (2017) Stable benefits of bilateral over unilateral cochlear implantation after 2 years: a randomized controlled trial. Laryngoscope 127:1161–1168CrossRef
8.
Zurück zum Zitat Bichey BG, Miyamoto RT (2008) Outcomes in bilateral cochlear implantation. Otolaryngol Head Neck Surg 138:655–661CrossRef Bichey BG, Miyamoto RT (2008) Outcomes in bilateral cochlear implantation. Otolaryngol Head Neck Surg 138:655–661CrossRef
9.
Zurück zum Zitat Nahm EA, Liberatos P, Shi Q, Lai E, Kim AH (2017) Quality of life after sequential bilateral cochlear implantation. Otolaryngol Head Neck Surg 156:334–340CrossRef Nahm EA, Liberatos P, Shi Q, Lai E, Kim AH (2017) Quality of life after sequential bilateral cochlear implantation. Otolaryngol Head Neck Surg 156:334–340CrossRef
10.
Zurück zum Zitat McRackan TR, Hand BN, Velozo CA, Dubino JR (2019) Association of demographic and hearing-related factors with cochlear implant–related quality of life. JAMA Otolaryngol Head Neck Surg 145:422–430CrossRef McRackan TR, Hand BN, Velozo CA, Dubino JR (2019) Association of demographic and hearing-related factors with cochlear implant–related quality of life. JAMA Otolaryngol Head Neck Surg 145:422–430CrossRef
11.
Zurück zum Zitat Papsin BC, Gordon KA (2008) Bilateral cochlear implants should be the standard for children with bilateral sensorineural deafness. Curr Opin Otolaryngol Head Neck Surg 16:67–74CrossRef Papsin BC, Gordon KA (2008) Bilateral cochlear implants should be the standard for children with bilateral sensorineural deafness. Curr Opin Otolaryngol Head Neck Surg 16:67–74CrossRef
12.
Zurück zum Zitat Ramsden JD, Papsin BC, Leung R, James A, Gordon KA (2009) Bilateral simultaneous cochlear implantation in children: our first 50 cases. Laryngoscope 119:2444–2448CrossRef Ramsden JD, Papsin BC, Leung R, James A, Gordon KA (2009) Bilateral simultaneous cochlear implantation in children: our first 50 cases. Laryngoscope 119:2444–2448CrossRef
13.
Zurück zum Zitat Uecker FC, Szczepek A, Olze H (2019) Pediatric bilateral cochlear implantation: simultaneous versus sequential surgery. Otol Neurotol 40:e454–e460CrossRef Uecker FC, Szczepek A, Olze H (2019) Pediatric bilateral cochlear implantation: simultaneous versus sequential surgery. Otol Neurotol 40:e454–e460CrossRef
14.
Zurück zum Zitat Ramsden JD, Gordon K, Aschendorff A et al (2012) European bilateral pediatric cochlear implant forum consensus statement. Otol Neurotol 33:561–565CrossRef Ramsden JD, Gordon K, Aschendorff A et al (2012) European bilateral pediatric cochlear implant forum consensus statement. Otol Neurotol 33:561–565CrossRef
16.
Zurück zum Zitat Li JN, Chen S, Zhai L et al (2017) The advances in hearing rehabilitation and cochlear implants in China. Ear Hear 38:647–652CrossRef Li JN, Chen S, Zhai L et al (2017) The advances in hearing rehabilitation and cochlear implants in China. Ear Hear 38:647–652CrossRef
17.
Zurück zum Zitat Long Y, Liu H, Li Y et al (2018) Early auditory skills development in Mandarin speaking children after bilateral cochlear implantation. Int J Pediatr Otorhinolaryngol 114:153–158CrossRef Long Y, Liu H, Li Y et al (2018) Early auditory skills development in Mandarin speaking children after bilateral cochlear implantation. Int J Pediatr Otorhinolaryngol 114:153–158CrossRef
18.
Zurück zum Zitat van Hasselt A, Sung JK, Tong MC (2019) Overcoming developing world challenges of cochlear implantation: Chinese perspective. Curr Opin Otolaryngol Head Neck Surg 27:193–197CrossRef van Hasselt A, Sung JK, Tong MC (2019) Overcoming developing world challenges of cochlear implantation: Chinese perspective. Curr Opin Otolaryngol Head Neck Surg 27:193–197CrossRef
19.
Zurück zum Zitat Gantz BJ, Tyler TS, Rubenstein JT et al (2002) Binaural cochlear implants placed in the same operation. Otol Neurotol 23:169–180CrossRef Gantz BJ, Tyler TS, Rubenstein JT et al (2002) Binaural cochlear implants placed in the same operation. Otol Neurotol 23:169–180CrossRef
20.
Zurück zum Zitat Migirov L, Kronenberg J (2009) Bilateral, simultaneous cochlear implantation in children: surgical considerations. J Laryngol Otol 123:837–839CrossRef Migirov L, Kronenberg J (2009) Bilateral, simultaneous cochlear implantation in children: surgical considerations. J Laryngol Otol 123:837–839CrossRef
21.
Zurück zum Zitat Franchella S, Bovo R, Bandolin L et al (2018) Surgical timing for bilateral simultaneous cochlear implants: When is best? Int J Pediatr Otorhinolaryngol 109:54–59CrossRef Franchella S, Bovo R, Bandolin L et al (2018) Surgical timing for bilateral simultaneous cochlear implants: When is best? Int J Pediatr Otorhinolaryngol 109:54–59CrossRef
22.
Zurück zum Zitat Shi Y, Li Y, Gong Y, Chen B, Chen J (2019) Cochlear implants for patients with inner ear malformation: Experience in a cohort of 877 surgeries. Clinn Otolaryngol 44:702–706CrossRef Shi Y, Li Y, Gong Y, Chen B, Chen J (2019) Cochlear implants for patients with inner ear malformation: Experience in a cohort of 877 surgeries. Clinn Otolaryngol 44:702–706CrossRef
23.
Zurück zum Zitat Dhondt CMC, Swinnen FKR, Dhooge IJM (2018) Bilateral cochlear implantation or bimodal listening in the paediatric population: retrospective analysis of decisive criteria. Int J Pediatr Otorhinolaryngol 104:170–177CrossRef Dhondt CMC, Swinnen FKR, Dhooge IJM (2018) Bilateral cochlear implantation or bimodal listening in the paediatric population: retrospective analysis of decisive criteria. Int J Pediatr Otorhinolaryngol 104:170–177CrossRef
24.
Zurück zum Zitat Farhood Z, Nguyen SA, Miller SC et al (2017) Cochlear implantation in inner ear malformations : systematic review of speech perception outcomes and intraoperative findings. Otolaryngol Head Neck Surg 156:783–793CrossRef Farhood Z, Nguyen SA, Miller SC et al (2017) Cochlear implantation in inner ear malformations : systematic review of speech perception outcomes and intraoperative findings. Otolaryngol Head Neck Surg 156:783–793CrossRef
25.
Zurück zum Zitat Saikawa E, Takano K, Ogasawara N, Tsubomatsu C, Takahashi N, Shirasaki H, Himi T (2016) Cochlear implantation in children with cochlear malformation. Adv Otorhinolaryngol 77:7–11PubMed Saikawa E, Takano K, Ogasawara N, Tsubomatsu C, Takahashi N, Shirasaki H, Himi T (2016) Cochlear implantation in children with cochlear malformation. Adv Otorhinolaryngol 77:7–11PubMed
Metadaten
Titel
Simultaneous bilateral cochlear implantation in children aged 12‒18 months is safe and can be performed using standard cochlear implant surgical techniques
verfasst von
Zhiqiang Gao
Suju Wang
Hua Yang
Guodong Feng
Yingying Shang
Bin Wang
Xu Tian
Ying Li
Xingmei Wei
Zhi Shu
Publikationsdatum
09.04.2020
Verlag
Springer Berlin Heidelberg
Erschienen in
European Archives of Oto-Rhino-Laryngology / Ausgabe 8/2020
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-020-05928-6

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